Illinois Bone and Joint Institute, LLC
Orthopaedic Surgery

Address: 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685
Phone: 8159288050

Illinois Bone and Joint Institute, LLC (NPI# 1669004610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1669004610
Entity Type Organization
Organization Name ILLINOIS BONE AND JOINT INSTITUTE, LLC
Practice Address 400 S Kennedy Dr Ste 100
Bradley
IL 60915-2685
Practice Telephone 8159288050
Practice Fax Number 8159288932
Mailing Address 900 Rand Rd Ste 300
Des Plaines
IL 60016-2359
Mailing Telephone 8473243976
Mailing Fax Number 8479291154
Authorized Official Name Wayne Goldstein (PRESIDENT)
Authorized Official Telephone 8473243976
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-02-07
Last Update Date 2020-02-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
No 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
No 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1265063648 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 19552 S Harlem Ave Bldg D, Frankfort, IL 60423-6733 2020-02-04
1700417185 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 1890 Silver Cross Blvd # A, New Lenox, IL 60451-9524 2020-02-04
1588207799 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 2719 W Algonquin Rd, Algonquin, IL 60102-9400 2019-10-21
1669020848 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 406 Front St Ste 100, Mchenry, IL 60050-5593 2019-08-30
1487202669 Illinois Bone and Joint Institute, LLC Physical Therapist 406 Front St Ste 110, Mchenry, IL 60050-5593 2019-08-30
1457698243 Illinois Bone and Joint Institute, LLC Radiologic Technologist 521 Green Bay Rd, Suite 100, Wilmette, IL 60091-2726 2013-01-14
1003153891 Illinois Bone and Joint Institute, LLC Radiologic Technologist 350 S Greenleaf St Ste 401, Gurnee, IL 60031-5709 2013-01-14
1275692543 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 101 Waukegan Rd Ste 990, Lake Bluff, IL 60044-1687 2006-12-06
1235298571 Illinois Bone and Joint Institute, LLC Physical Therapist 2101 Waukegan Rd Ste 108, Bannockburn, IL 60015-1836 2006-12-06
1447318878 Illinois Bone and Joint Institute, LLC Physical Therapist 724 Florsheim Dr, Libertyville, IL 60048-3757 2006-12-05
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487662128 Kermit S Muhammad Orthopaedic Surgery 400 South Kennedy, Bradley, IL 60915 2006-08-04
1578571386 Michael John Corcoran Orthopaedic Surgery 400 South Kennedy Dr, Bradley, IL 60915 2006-08-04
1184263055 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2019-12-24
1619240595 Jalaal Shah Orthopaedic Surgery 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2012-02-22
1881851210 Tomasz Taduesz Antkowiak Orthopaedic Surgery 400 S Kennedy Dr, Suite 100, Bradley, IL 60915 2008-05-22
1720191091 Orthopedic Associates of Kankakee Sc Orthopaedic Surgery 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2685 2006-08-17
1447268289 Eddie Jones Orthopaedic Surgery 400 South Kennedy Dr, Bradley, IL 60915 2006-08-04
1659389450 Wesley Eugene Choy Orthopaedic Surgery 400 S Kennedy Dr, Bradley, IL 60915-2682 2006-08-04
1316955149 Rajeev Damian Puri Orthopaedic Surgery 400 South Kennedy Dr, Bradley, IL 60915 2006-08-04
1891703609 Alexander Eugene Michalow Orthopaedic Surgery 400 S Kennedy Dr, Bradley, IL 60915-2682 2006-08-04
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Office Location

Street Address 400 S KENNEDY DR STE 100
City BRADLEY
State IL
Zip Code 60915-2685

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982886628 Kimberly Ann Beaupre Occupational Therapist 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2007-12-05
1184263055 Illinois Bone and Joint Institute, LLC Orthopaedic Surgery 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2019-12-24
1477196533 Samantha M Corey Physician Assistant 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2019-10-22
1366092876 Margaret Curtin Physician Assistant 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2019-09-17
1659809440 Taylor R Atkinson Physician Assistant 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2017-05-24
1619240595 Jalaal Shah Orthopaedic Surgery 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 2012-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285232991 Healthy Medical Inc Family Medicine 535 N. East St., Suite A, Bradley, IL 60915 2020-10-14
1679826309 Heather Sevier Specialist/Technologist 328 S Dearborn Ave, Bradley, IL 60915 2012-10-18
1013266584 Arlene De Leon Delacruz Physical Therapist 400 South Kennedy Dr., Bradley, IL 60915 2012-08-30
1023370699 Jessica Sorensen Physician Assistant 350 N Kinzie Ave, Bradley, IL 60915 2012-06-11
1184993164 Debra Malone Behavior Analyst 136-142 1/2 South Clinton, Bradley, IL 60915 2011-12-21
1376840421 Joshua R Johnson Physician Assistant 400 S. Kennedy, Bradley, IL 60915 2011-02-24
1801192133 Eloise Adams Behavior Analyst 136 142 1/2 South Clinton, Bradley, IL 60915 2011-02-03
1386948685 Rico J Hale Behavior Analyst 136 142 South Clinton, Bradley, IL 60915 2010-12-29
1558665851 Joyce A Bollhorst Behavior Analyst 136-142 South Clinton, Bradley, IL 60915 2010-12-29
1538469655 Kankakee Valley Chiropractic Chiropractor 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 2010-10-22
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Competitor

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City BRADLEY
Zip Code 60915

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.